Deanna M Fenoughty, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

01056031A Issued in IN

Practice address

6911 E US Highway 36
Avon, IN 46123-8926

Phone

(317) 272-8033

Fax

(317) 272-8044

NPI assigned

Jan 4, 2006

Last updated

Mar 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4

All facility ownership & control disclosures 48

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 48

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hendricks County Hospital

  dba Westside Retirement Village

  • Skilled Nursing Facility
  • Indianapolis, IN
  • NPI 1033166871

  Corporate Officer, Operational/Managerial Control

  CMS ownership
• Hendricks County Hospital

  dba Hamilton Trace of Fishers

  • Skilled Nursing Facility
  • Fishers, IN
  • NPI 1033416243

  Corporate Officer, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership
• Hendricks County Hospital

  dba Brickyard Healthcare - Valparaiso Care Center

  • Skilled Nursing Facility
  • Valparaiso, IN
  • NPI 1053599688

  Corporate Officer

  CMS ownership
• Hendricks County Hospital

  dba Castleton Health Care Center

  • Skilled Nursing Facility
  • Indianapolis, IN
  • NPI 1063409498

  Corporate Officer, Managing Control - Governing Body, Operational/Managerial Control, Trustee of the SNF

  CMS ownership
• Hendricks County Hospital

  dba 'Brickyard Healthcare - Brandywine Care Center '

  • Skilled Nursing Facility
  • Greenfield, IN
  • NPI 1063468676

  Corporate Officer

  CMS ownership
• Hendricks County Hospital

  dba Green Valley Care Center

  • Skilled Nursing Facility
  • New Albany, IN
  • NPI 1063469930

  Corporate Officer, Operational/Managerial Control

  CMS ownership
• Hendricks County Hospital

  dba Brickyard Healthcare - Muncie Care Center

  • Skilled Nursing Facility
  • Muncie, IN
  • NPI 1063682896

  Corporate Officer

  CMS ownership
• Hendricks County Hospital

  dba Parkview Care Center

  • Skilled Nursing Facility
  • Evansville, IN
  • NPI 1093762155

  Corporate Officer, Operational/Managerial Control

  CMS ownership
• Hendricks County Hospital

  dba Brickyard Healthcare - LaPorte Care Center

  • Skilled Nursing Facility
  • La Porte, IN
  • NPI 1093985814

  Corporate Officer

  CMS ownership
• Hendricks County Hospital

  dba Brickyard Healthcare - Golden Rule Care Center

  • Skilled Nursing Facility
  • Richmond, IN
  • NPI 1124070339

  Corporate Officer

  CMS ownership
• Hendricks County Hospital

  dba Brickyard Healthcare - Woodbridge Care Center

  • Skilled Nursing Facility
  • Evansville, IN
  • NPI 1124070347

  Corporate Officer

  CMS ownership
• Hendricks County Hospital

  dba Life Care Center of Willows

  • Skilled Nursing Facility
  • Valparaiso, IN
  • NPI 1194772087

  Corporate Officer, Operational/Managerial Control

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hendricks County Hospital

  dba HRH Associate Health

  • General Practice Physician
  • Danville, IN
  • NPI 1497536163
  Medicare reassignment NPD
• Hendricks County Hospital

  dba Hendricks Pediatrics of Brownsburg

  • Pediatrics Physician
  • Brownsburg, IN
  • NPI 1508758210
  NPD
• Hendricks County Hospital

  • General Acute Care Hospital
  • Danville, IN
  • NPI 1669475950
  NPD
• Hendricks County Hospital

  dba Hendricks Regional Health Immediate Care

  • Urgent Care Clinic/Center
  • Avon, IN
  • NPI 1063411551
  NPD (past)
• Hendricks County Hospital

  dba Stafford Pointe Family Physicians

  • Family Medicine Physician
  • Plainfield, IN
  • NPI 1104927557
  NPD (past)
• Hendricks County Hospital

  dba Hendricks Endocrinology and Diabetes Specialist

  • Endocrinology, Diabetes & Metabolism Physician
  • Danville, IN
  • NPI 1649432444
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1245218908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SOUTHFIELD DR",
            "address_2": "SUITE 1370",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461684498",
            "telephone_number": "317-837-5571",
            "fax_number": "317-837-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 E US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238926",
            "telephone_number": "317-272-8033",
            "fax_number": "317-272-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENOUGHTY",
        "first_name": "DEANNA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01056031A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100317590",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dfenoughty228426@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "6911 E US Highway 36",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461238926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Avon, IN
• Providers in Avon, IN by specialty
• Obstetrics & Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.